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The document discusses average daily water use and provides strategies to reduce personal water consumption. It states the average daily use is 319 litres for a household and 318.95 litres per person. Some suggestions to reduce daily water use include using cups instead of mugs, minimizing dishes and cups used, not washing all plates and bowls, and turning off the tap while brushing teeth.
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This document discusses metastatic tumors of the spinal column, including their diagnosis and management. Some key points:
- The thoracolumbar region is the most common location for skeletal metastases, affecting around 70% of patients. The lumbar and sacral spine make up around 20% while the cervical spine is around 10%.
- Treatment options include medical therapies like chemotherapy, hormone therapy, biophosphonates and radiotherapy. Surgical options include decompression, debulking, or excision with or without stabilization. Factors like life expectancy, tumor type and location help determine the best treatment approach.
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This document discusses hearing screening in newborns. It begins by defining different types and levels of hearing loss. It then discusses the importance of early identification of hearing loss in newborns through universal screening. Screening can be done using otoacoustic emissions testing or auditory brainstem response testing. Otoacoustic emissions testing evaluates the function of the outer hair cells in the cochlea by measuring sounds produced in response to sound stimuli. Early identification of hearing loss allows for early intervention, which research shows leads to better language development and academic outcomes for children.
Spinal neoplasms
This document discusses spinal neoplasms and provides classifications and imaging features of various tumors of the spine. It classifies spinal tumors as intramedullary, intradural-extramedullary, or extradural based on their point of origin. Common intramedullary tumors discussed include ependymomas, astrocytomas, gangliogliomas, and hemangioblastomas. Intradural-extramedullary tumors mentioned are meningiomas and nerve sheath tumors. Extradural tumors can be single lesions such as bone tumors or multiple lesions like metastatic disease. Magnetic resonance imaging plays a key role in evaluating and characterizing spinal tumors.